Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEREMY WADE CULL, D.D.S.
Active Sole ProprietorDR. JEREMY WADE CULL, D.D.S. is a Oral & Maxillofacial Surgery healthcare provider located in CASA GRANDE, Arizona. NPI 1104021476 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · CASA GRANDE, AZ
Registration Details
- NPI Number
- 1104021476
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 18, 2007 (19.182807194023 yrs)
- Last Updated
- Nov 4, 2019
- License
-
7170 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1876 E SABIN DRIVE SUITE #18CASA GRANDE, AZ, 85222Browse AZ providers · Browse ZIP 85222
- Phone
- 5208765227
- Fax
- 5208764059
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.